title: The clinical and cost-benefits of investing in neurobehavioural rehabilitation: a multi-centre study.
abstract: OBJECTIVE
  The aim of this study was to investigate the cost-benefits of a residential post-acute neurobehavioural rehabilitation programme and its effects on care needs and social participation of adults with acquired brain injury.
  
  
  METHODS
  Retrospective multi-centre design.
  
  
  METHODS
  Data on occupation, adaptability and level of support required were collected at admission, discharge and 6-months follow-up. Cost analysis was performed on cost estimates based on level of support.
  
  
  RESULTS
  Significant gains were observed in all areas of functioning, with individuals progressing towards higher levels of independence and more participation in society upon discharge.
  
  
  CONCLUSIONS
  Cost-benefits of up to £1.13 million were demonstrated for individuals admitted to rehabilitation within a year of sustaining a brain injury and of up to £0.86 million for those admitted more than 1 year after injury. Functional gains and reductions in levels of care required upon discharge were maintained 6 months later. These results demonstrate that post-acute neurobehavioural rehabilitation can have a positive impact on the lives of individuals with brain injury and that the associated costs are off-set by significant savings in the longer-term.
authors.affiliation: Brain Injury Rehabilitation Trust , Horsham, West Sussex , UK.
authors.forename: Michael
authors.initials: M
authors.lastname: Oddy
authors.forename: Sara
authors.initials: S
authors.lastname: da Silva Ramos
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001930:Brain Injuries / Q000191:economics* / Q000523:psychology / Q000534:rehabilitation*; D002648:Child; D002675:Child, Preschool; D003072:Cognition Disorders / Q000191:economics* / Q000209:etiology / Q000534:rehabilitation*; D003362:Cost-Benefit Analysis; D005260:Female; D006760:Hospitalization / Q000191:economics; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000191:economics* / Q000209:etiology / Q000534:rehabilitation*; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D020127:Recovery of Function; D012047:Rehabilitation Centers / Q000191:economics*; D012189:Retrospective Studies; D055815:Young Adult